Option Volume Ventilation

Infinity® Acute Care System™ – Dräger Babylog® VN500:

Combining the benefits of Volume Guarantee ventilation (VG)
with the enhanced safety of Mandatory Minute Ventilation
(PC-MMV), the Volume Ventilation option for the Babylog® VN500
ventilation unit is the most advanced volume ventilation tool for
neonatal respiratory care Dräger has ever developed.

NEW VOLUME GUARANTEE
FUNCTIONALITY
– Volume Guarantee ventilation is used
as an adjunct to the Pressure Control
(PC-) CMV, SIMV, A/C and PSV
modes, providing accurate tidal volume
control for these pressure-controlled
modes.
– Our highly advanced PC-MMV/VG
mode functions much like PC-SIMV
with Volume Guarantee continuously
D-21965-2009
variation in respiratory drive and other
parameters, often on a breath-to-breath
basis. Surfactant therapy can have a rapid
and profound impact on compliance
values.1 Assuring the accurate delivery of
tidal volumes during changes in
compliance, resistance and leak volumes
is a technically challenging prospect, but
one that’s well worth the effort. Scientific
documentation have shown that strategies
utilizing Volume Guarantee can significantly
D-19538-2009

regulates the rate of mandatory cycles
to maintain a minimum set minute
volume.
– Volume Guarantee can also be used in
conjunction with the High Frequency
Oscillation (PC-HFO/VG) option to
automatically regulate the pressure
amplitude required to maintain the
set tidal volume during high-frequency
ventilation.
– Our new Spontaneous CPAP mode
with Volume Support (SPN-CPAP/VS)
regulates Pressure Support to main-
tain tidal volumes during spontaneous
breathing.
VOLUME GUARANTEE – THE GOLD
STANDARD IN NEONATAL VENTILATION
Respiratory regulation in premature
neonates can sometimes be erratic. These
babies frequently demonstrate substantial
lower mean airway pressures and avoid
potential risks such as overdistension,
barotrauma and hypocarbia.2 The goal is
not just to provide guaranteed tidal The Babylog® VN500 with Infinity®
volumes, but to ventilate in harmony with Medical Cockpit™ C500
the baby. So Dräger has now combined
the tidal volume-based advantages of
Volume Guarantee (VG) with a new
minute volume based mode – Mandatory
Minute Ventilation (PC-MMV). The result
is enhanced synchrony, a reduction of
mean airway pressures and a more
comfortable infant.3
THE FOREFRONT OF VOLUME
GUARANTEE TECHNOLOGY – MMV
The Dräger Mandatory Minute Volume
(PC-MMV) mode is based on conventional
pressure-controlled synchronized
intermittent mandatory ventilation. By
continuously analyzing volume and flow
02 | OPTION: VOLUME VENTILATION

rates including changes in resistance and
compliance, this mode maintains a
minimum set minute volume by adjusting
the mandatory cycle frequency. This mode
includes integrated apnea ventilation, and
Pressure Support can be provided to help
support spontaneous breathing efforts
between mandatory cycles. In neonates
with erratic respiratory drive and regulation,
this sophisticated Volume Guarantee
solution results in improved synchrony
and more stable blood gas concentrations.
Excessive inflation is rapidly recognized
and corrected, helping to avoid
90 66 364 | 15.06-3 | Communications & Sales Marketing | PP | PR | LE | Printed in Germany | Chlorine-free – environmentally compatible | Subject to modifications | © 2015 Drägerwerk AG & Co. KGaA
CPAP WITH VOLUME SUPPORT 4. A Crossover analysis of mandatory minute
(SPN-CPAP/VS) ventilation compared to synchronized
The Babylog VN500 Volume Ventilation intermittent mandatory ventilation in
option also allows you the ability to neonates, Guthrie SO, Lynn C, LaFleur BJ,
regulate Pressure Support in infants Donn SM, Walsh WF: Journal of
breathing spontaneously to achieve target Perinatology, 2005 25:643-646.
tidal volumes.
Volume Guarantee has been integrated
into protocols around the world. Benefits
are documented not only on a scientific
level but from patient and practitioner
feedback responsible for delivering care.
It’s those experiences that drive us to

complications such as pneumothorax.
When combined, scientific evidence
suggest that these benefits can
significantly reduce ventilation related
time.3
HIGH FREQUENCY OSCILLATION
OPTION USING VOLUME GUARANTEE
This unique feature, available in
conjunction with the High Frequency
Oscillation option for the Babylog VN500,
maintains stable minute volumes in the
HFO mode. By continuously regulating
the oscillation amplitude, PC-HFO/VG
compensates for dynamic changes in both
the lung and the breathing circuit. Blood
gases are again less subject to variation
and complications associated with
uncontrolled hyperventilation, such as
periventricular leucomalacia (PVL), can
be avoided.4
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provide even the smallest patients with
innovative tools and relevant technology.
Volume Guarantee allows tidal volume control in
pressure limited ventilation.
References
1. Reduction in lung injury after combined
surfactant and high frequency ventilation,
JC Jackson, WE Truog, et al, American
Journal of Respiratory Critical Care
Medicine, August; 150(2):253-9, 1994.
2. High-Frequency Oscillatory Ventilation
D-2521-2010
versus conventional mechanical ventilation
for very-low-birth-weight-infants, Sherry
Courtney, M.D., et al. New England Journal
During PC-MMV a minimum minute ventilation
of Medicine, Volume 347, No 9, 2002. can be set.
3. Computer-controlled minute ventilation in
preterm infants undergoing mechanical
ventilation, Claure N, Gerhardt T, Hummler
H, Everett R, Bancalari E: Journal of
pediatrics, Volume 131, Number 6, 1997.

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